Employer
Manufacturer & Business Association
2171 West 38th Street, Erie, PA 16508 · EIN 25-0637030 · Jan 1, 2024 to Dec 31, 2024
Plan year 2024
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Schedule A
Direct compensation
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $354,677
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Dental | Delta Dental Of Pennsylvania | See Attached List Of Agents | 5955 | $269,923 8.9% of $3,026,808 |
| Dental | United Concordia Insurance Company | Manufacturer & Business Assoc Ins | 1489 | $44,366 7.4% of $600,374 |
| Dental | United Concordia Dental Plans Of Pennsylvania, Inc. | Manufacturer & Business Assoc Ins | 55 | $1,006 7.5% of $13,475 |
| Dental | United Concordia Insurance Company | Manufacturer & Business Assoc Ins | 23 | $189 4.7% of $4,058 |
| Dental | United Concordia Insurance Company | Loesel-Schaaf Insurance | 23 | $116 2.9% of $4,058 |
| Vision | Metropolitan Life Insurance Company | — | 700 | Comp not disclosed Premium $35,071 |
| Life | Hartford Life And Accident | See Attached List Of Agents | 1477 | $39,077 12.6% of $309,500 |
Schedule C
Additional compensation
Plan-paid amounts to each named party on the filing, with the role they reported. This is not a carrier commission and is not added to Schedule A.
Visible subtotal $91,440
| Party | Type | Amount | $ / Enrolled / Year |
|---|---|---|---|
| C.W. Breitsman Associates, LLC | N/A | $91,440 | $12.29 |